Microbiological study of urinary tract infection in patient visiting paropkar maternity and women's hospital Thapathali, Kathmandu. (Record no. 693)

MARC details
000 -LEADER
fixed length control field 02684 a2200241 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20230926110713.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 191117b ||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Description conventions NLM
060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number THS-00221
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Subedi, Bandana.
9 (RLIN) 1870
245 ## - TITLE STATEMENT
Title Microbiological study of urinary tract infection in patient visiting paropkar maternity and women's hospital Thapathali, Kathmandu.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2010.
300 ## - PHYSICAL DESCRIPTION
Extent xv, 87p. :
500 ## - GENERAL NOTE
General note Thesis Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: This study was conducted in patients visiting Paropakar Maternity and Women's Hospital, Thapathali, with an objective to assess the Microbiological study of Urinary Tract Infection. Annually, women and their neonates are in the risk of morbidity and mortality due to UTI in case of Nepal. In this study, a total of 1246 clinical samples of urine were collected. Prevalence of uropathogens was found 29.61% (369/1246). A total of 369 uropathogens of which 8 species from Gram negative (82.66%) and 4 species from Gram positive (17.34%) were isolated. In Gram negative, the most predominant was E. coli (62.3%) followed by Klebsiella pneumoniae (6.5%), Proteus mirabilis (4.9%), K. oxytoca (3%), P. vulgaris (2.7%), Enterobacter cloacae (0.5%) and Citrobacter freundii (0.5%). From Gram positive most prevalent were Staphylococcus aureus (7.6%) and coagulase negative staphylococci (CoNS) (7.6%) followed by Streptococcus spp. (1.4%) and S. fecalis (0.8%). The most efficient antibiotics in Gram negatives were found Tobramycin (87.54%). In S. aureus Amikacin (96.43%) was found more susceptible whereas for CoNS and Streptococcus spp. maximal efficient antibiotic was found Nitrofurantoin (75%). Altogether 199 Multidrug resistant strains were isolated. Highest percent of MDR were found in K. pneumoniae (58.33%) in Gram negatives and S. aureus (82.14%) in Gram positives urine isolates, a total of 14 Methicillin Resistant Staphylococcus aureus (MRSA) were isolated. All MRSA isolates were found to be Vancomycin sensitive. Mutiple Antibiotics Resistance index (MARI) of isolates was found more than 0.20 in 247 (66.93%) of isolates. MARI of antibiotics was found highest in antibiotics Nalidixic acid in Gram negative and Moxifloxacin in S. aureus and Penicillin G in CoNS and Streptococcus spp. Previous antibiotics use was found significantly associated with MDR isolates (p=0.029; OR=1.752 CI=1.159 and 2.650). <br/><br/>Keywords: Host factors, MARI, uropathogens
546 ## - LANGUAGE NOTE
Language note Eng.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Host factors.
9 (RLIN) 2871
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element MARI.
9 (RLIN) 2112
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Uropathogens.
9 (RLIN) 2114
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a>
Link text Visit NHRC Library
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Thesis Report
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    National Library of Medicine     Nepal Health Research Council Nepal Health Research Council Reference 07/24/2012   THS00221/SUB/2010 THS-00221 07/24/2012 07/24/2012 Thesis Report

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